Low Back Pain
Conditions
Keywords
Thrust Joint Manipulation, Non-thrust Joint Manipulation, Transversus Abdominis
Brief summary
The primary aim of this study is to examine how different physical therapy interventions affect the resting state and contraction state of a certain abdominal muscle in patients with low back pain.
Detailed description
Patients with low back pain (LBP) will undergo ultrasound imaging of the transversus abdominis to measure the muscle thickness at rest and at the contracted state prior to intervention and again immediately after intervention. In this randomized controlled trial, patients will be randomized into one of two groups. One group will receive the intervention of thrust joint manipulation of the lumbar spine and the other group will receive the intervention of non-thrust joint manipulation of the lumbar spine.
Interventions
OTHERThrust Joint Manipulation of the Lumbar Spine
OTHERNon-thrust Joint Manipulation of the Lumbar Spine
Sponsors
DeRosa Physical Therapy
University of Nevada, Las Vegas
Nova Southeastern University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Adults between 18-70 years of age with primary symptom of LBP, with or without referral into lower extremity. * Subjects must be able to read and write in English.
Exclusion criteria
* Presence of serious pathology. * Diagnosis of spinal stenosis or symptoms in both lower legs (changes in sensation, muscle weakness). * Any history of low back surgery, rheumatoid arthritis, osteoporosis, osteopenia, scoliosis, or ankylosing spondylitis. * Pregnancy * Pending legal action. * Prior surgery to the lumbar spine or fractures of the lumbar spine.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Transversus Abdominis thickness change. | Baseline to immediately after the intervention (within 5 minutes). | Measurement of change in thickness from resting to contraction will be compared at baseline (pre-intervention) to immediately following the intervention (post-intervention). The study is looking at the immediate effects so there is no short-term or longer follow up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Low Back Pain Questionnaire | Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone. | The score of the Oswestry Low Back Pain Questionnaire will be compared from baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone. |
| Numeric Pain Rating Scale | Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone. | The score of the Numeric Pain Rating Scale will be compared from baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone. |
| Fear-Avoidance Beliefs Questionnaire | Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone. | The score of the Fear-Avoidance Beliefs Questionnaire will be compared from baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone. |
| Global Rating of Change | Immediately post-intervention (within 5 minutes) and at follow-up within 48 hours over the phone. | The score of the Global Rating of Change will be compared from immediately post-intervention (within 5 minutes) and follow-up within 48 hours over the phone. |
Countries
United States
Outcome results
None listed